Table 2.
Disease* | Alternative stem cell source available | Respondent would perform transplant using banked autologous cord blood
|
||
---|---|---|---|---|
Yes Number (%) | No Number (%) | Combined† Number (%) | ||
Acute lymphoblastic leukemia in 2nd remission after on-therapy relapse | ||||
Matched sibling | 0 (0%) | 91 (100%) | N/A‡ | |
Unrelated bone marrow or cord blood | 5 (6%) | 85 (94%) | N/A | |
No suitable allogeneic stem cell source available | 55 (62%) | 34 (38%) | N/A | |
| ||||
Severe aplastic anemia | ||||
Newly diagnosed | Matched sibling | 25 (28%) | 65 (72%) | N/A |
Unsuccessful immunosuppressive therapy | Unrelated bone marrow or cord blood | 47 (55%) | 38 (45%) | N/A |
| ||||
High-risk neuroblastoma | ||||
Adequate autologous cord blood cell dose | Autologous PBSC§ or bone marrow | 50 (55%) | 38 (42%) | 3 (3%) |
Inadequate autologous cord blood cell dose ** | Autologous PBSC or bone marrow | 7 (8%) | 61 (67%) | 23 (25%) |
Respondents were asked to indicate their preferred stem cell source for a hypothetical 5 year old child whose cord blood had been stored prophylactically at birth (with adequate cell dose of 4 × 107 nucleated cells/kg recipient weight). The child now presents with the specified potentially transplantable disease.
Would choose autologous cord blood combined with available alternative stem cell source
N/A, option not offered
PBSC, peripheral blood stem cells
<2 × 107 nucleated cells/kg recipient weight